What to do if the fallopian tube is blocked? This treatment is effective

Fallopian tube obstruction is a very common gynecological disease, which will affect pregnancy to a certain extent. The method to treat obstruction at the distal end of the fallopian tube is hydrotubation, which includes conventional hydrotubation, selective hydrotubation under direct X-ray vision, or hydrotubation under hysteroscopy. Use the power of water pressure to separate the adhesions of the fallopian tubes, making them more unobstructed and reducing the occurrence of ectopic pregnancy.

1. For the obstructed interstitial and isthmic parts: Such fallopian tubes generally appear on the radiographs as the proximal wall of the tube being rough and not smooth, or thickened, or narrowed, or having nodules, or the proximal end not showing but the distal end showing clearly. The treatment for this situation is usually selective fallopian tube catheterization and recanalization under X-ray, which is a method that combines angiography and intervention. A guide wire is used under X-ray to clear the blocked area, and then an X-ray is taken to see the patency of the fallopian tube after intervention to determine the chance of ectopic pregnancy after the operation.

2. For the ampulla, the obstruction of the fimbria, and the obstruction of the distal end, the diagnosis mainly depends on the delayed film. After the angiography and tube removal, if it is water-based contrast, a delayed film is taken 20 minutes later. If it is iodized oil contrast, a film is required 24 hours later. The delayed film is used to judge the patency of the fallopian tube.

The method to treat obstruction at the distal end of the fallopian tube is hydrotubation, which includes conventional hydrotubation, selective hydrotubation under direct X-ray vision, or hydrotubation under hysteroscopy. Use the power of water pressure to separate the adhesions of the fallopian tubes, making them more unobstructed and reducing the occurrence of ectopic pregnancy.

1. Ordinary hydrotubation is the conventional hydrotubation we usually use. The water pressure of this method is relatively small, and the effect on distal obstruction is minimal. Since ordinary hydrotubation is blind and the specific filling status of the fluid in the fallopian tube cannot be seen, it is impossible to predict the patency after hydrotubation.

2. Through fluid perfusion under direct X-ray vision, also known as selective salpingography, the catheter is inserted into the fallopian tube under X-ray, and then the medicine is injected. The force is very strong, also called high-pressure injection. Because it is a direct operation under X-ray, we can clearly understand the patency of the fallopian tube after catheterization and fluid perfusion and can take pictures for observation, so we can control the injection pressure and speed at will.